_________________________________________________________ a bona fide student of Saint Louis University, hereby file my candidacy for the position of

I assure that I possess and have met the qualifications of a candidate for Election in the Kataas-taasang Sanggunian Ng Mga Mag-aaral / Supreme Student Council as stipulated in Article II of the KASAMA/SSC By Laws of 2000 pursuant to Item A5, Chapter V of the SLU Student Handbook, 2004 edition and as duly certified by my School Dean and the Dean of Student Affairs. Furthermore, should my certificate of candidacy be approved by the Honorable Commission, I shall uphold, adhere and submit myself to pertinent election laws and guidelines as promulgated by the Commission on Elections and the Congress of Louisians.

City Address: ___________________________________________________________________________________________________________________ Home Address: ________________________________________________________________________________________________________________

Date of Birth:

Place of Birth: __________________________________________________________________

Contact Number:

Email Address:

Facebook: _______________________

I hereby affirm that the above information are true and correct to the best of my knowledge. I am fully aware that any culpable misrepresentation or concealment of information made in this document shall cause the invalidation of my Certificate of Candidacy and probable election to public office in the Kataas-taasang Sanggunian Ng Mga Mag-aaral / Supreme Student Council without prejudice to any administrative and disciplinary sanction/s that may be imposed further, in accordance to the SLU Student Handbook.

__________________________________ SIGNATURE OVER PRINTED NAME DATE:_____________________________

DISTRUBUTION: [1] FOR COMELEC

[2] FOR STUDENT AFFAIRS OFFICE

CERTIFICATION OF CANDIDATE’S ACADEMIC QUALIFICATIONS

Pursuant to item A5, Chapter V of the SLU Student Handbook, 2004 edition and Section 6, Article I and Article

II of the KASAMA/SSC By Laws of 2000, I hereby certify that

,

a candidate

for

the position of

in the KASAMA/SSC General Elections for the

Academic year 20

___-20____

of eighteen (18) units except candidates

from the Graduate School, Schools of Medicine and Law and senior undergraduate students in their last

academic year.

The student has been enrolled in Saint Louis University for at least one (1) year, except for those running for first year positions and has passed his total load during the previous semester and summer prior to his election and in conformity with pertinent institutional practices

I hereby certify that the aforementioned student is

[

] QUALIFIED

[

] NOT QUALIFIED to run

for public office in the KASAMA/SSC General Elections.

SCHOOL DEAN

School of

Date

NOTE TO THE DEAN: Please verify that the student have passed all his/her total load during the previous semester and summer, in accordance with the provisions of item A5, Chapter V of the SLU Student Handbook duly concurred by the university administrat ion before affixing your signature.

CERTIFICATION OF THE CANDIDATE’S MORAL INTEGRITY

Pursuant to the provisions of Section 6, Article I of the KASAMA/SSC By Laws of 2000 and to the records

available with this office, I hereby certify that

who is

applying for eligibility to run for public office in the Kataas-taasang Sanggunian Ng Mga Mag-aaral / Supreme

Student Council, is of good moral character and had not been subjected to any disciplinary measures and/or sanctions for any violation of pertinent university rules and regulations during his/her stay in Saint Louis University.